the european framework for action on integrated health ... · 2-3 may, 2016, un city, copenhagen,...
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OVERVIEW
The European Framework for Action on Integrated Health Services Delivery
Final consultation of the European Framework for Action on Integrated Health Services Delivery 2-3 May, 2016, UN City, Copenhagen, Denmark
Identifying health needs
Engaging patients
Empowering populations
Modeling care
Organizing providers & settings
Managing services delivery
Improving performance
Rearranging accountability
Aligning incentives
Preparing a competent workforce
Promoting rational use of medicines
Innovating health technologies
Rolling out e-health
Tackling determinants
CHANGE
Strategizing with people at the centre Implementing transformations Enabling sustainable change
The European Framework for Action on Integrated Health Services Delivery
PEOPLE SERVICES SYSTEM
People 1
Goal: To identify health needs and work in partnership with populations and individuals, as patients, family
members, carers and members of their communities, towards realizing their greatest health potential.
Identifying health needs
PEOPLE
People domain areas for action
Tackling the determinants of health
Empowering populations
Engaging patients
Areas and key strategies
Identifying health needs
q Stratifying health needs and risks q Planning actions based on evidence
Tackling the determinants of health
q Identifying the determinants of health q Mapping supports needed beyond health services
Engaging patients
q Supporting patient self-management q Supporting patients’ shared decision-making q Strengthening patient peer-to-peer support q Supporting patients’ families and carers
Empowering populations
q Protecting rights & fostering shared responsibilities q Enabling informed choice q Enhancing health literacy q Supporting the development of community health
Services 2
Goal: To ensure that the processes of selecting, designing, organizing, managing and improving
services optimize the performance of health services delivery in alignment with the health needs of those
populations and individuals it aims to serve.
Modeling care
SERVICES
Services domain areas for action
Organizing providers and settings
Managing services delivery
Improving performance
Areas and key strategies
Modeling care
q Including services across a broad continuum q Standardizing practices q Designing service pathways
Organizing providers and settings
q Introducing new and/or re-profiling settings q Structuring practices for a multidisciplinary approach q Adjusting the roles & scope of practice of providers
Improving performance
q Strengthening clinical governance q Creating a system of lifelong learning
Managing services delivery
q Ensuring appropriate resources q Linking meaningfully across actors q Adopting a results-orientation
System 3
Goal: To align the other health system functions of governing, financing and resourcing in order to establish the conditions required to allow services
delivery to perform optimally and to enable sustainable system-wide change.
Rearranging accountability
SYSTEM
System domain areas for action
Aligning incentives
Preparing a competent workforce
Promoting rational use of medicines
Innovating health technologies
Rolling out e-health
Areas and key strategies
Rearranging accountability
Aligning incentives
Preparing a competent workforce
q Assigning clear mandates q Ensuring resources and tools q Generating evidence on performance
q Steering the allocation of resources for purchasers q Linking payment schemes for providers q Designing incentives for patients
q Recruiting and orientation based on competencies q Enabling a supportive practice environment q Establishing continuing professional development
Promoting rational use of medicines
Innovating health technologies
Rolling out e-health
Areas and key strategies
q Standardizing practice to optimize provision of medicines q Generating awareness and supports for patients
q Assessing new devices q Researching for optimization of medical devices
q Investing in e-health by setting standards q Establishing laws and regulations
Change 4
Goal: To lead and manage the process of change strategically at the different stages
of transforming health services delivery.
Strategizing change with people at the centre
CHANGE
Change domain areas for action
Implementing transformations
Enabling sustainable system-wide change
Strategizing change with people at the centre
Implementing transformations
Enabling sustainable system-wide change
q Creating a burning platform for change q Convening and engaging actors q Developing a planned approach
q Implementing pilots q Developing a high involvement culture q Facilitating communication
q Building coalitions q Developing resilience q Activating many levers
Areas and key strategies
CONTACT INFORMATION Health Services Delivery Programme Division of Health Systems and Public Health Email: [email protected] For more information on the European Framework for Action on Integrated Health Services Delivery visit: http://www.euro.who.int/en/health-topics/Health-systems/health-service-delivery
Final consultation of the European Framework for Action on Integrated Health Services Delivery 2-3 May, 2016, UN City, Copenhagen, Denmark